Individual
BUKOLA E OLODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
971 JEROME ST, BROOKLYN, NY 11207-9252
(718) 272-3300
Mailing address
200 BETHEL LOOP APT 11C, BROOKLYN, NY 11239-1714
(917) 843-4295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
72070896
NY
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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